by: Dr. Tom Pousti
With massive weight loss, in a short period of time, patients are often left with a significant amount of excess skin. Because of the rapid weight loss, the patient’s skin doesn’t “bounce back” adequately, resulting in a multitude of problems including problems with moisture, skin break down, hygiene and body image problems (aesthetic concerns). This excess skin remains a reminder of the person’s past problem with obesity and limits the patient’s satisfaction with the weight loss he/she has achieved. Although patients are often very pleased with the improvement in their medical issues (such as diabetes and high blood pressure) achieved after weight loss, they are still not happy when they look in the mirror. Plastic surgical procedures after weight loss may help the patient achieve their goals and significantly improve their self-image. It is important to work with a plastic surgeon with extensive experience due to the fact that treatment of the post-bariatric surgery patient is unique in that the patient’s skin elasticity has been permanently decreased, potentially resulting in faster recurrence of some of the patient’s presenting complaints. Dr. Pousti has helped many patient’s in this situation.
As patients lose weight, their face and neck skin often show signs of weight loss often associated with aging. They may notice loose skin of the eyelids, lower face (jowl) or neck area. Face and neck lifting surgery help eliminate loose skin and the underlying muscle and fatty tissue. The re-suspension of the tissues helps rejuvenate the face and neck area.
Many patients complain of “empty, droopy, saggy” breasts after weight loss – in fact, patients often say that they were happier with their breasts before weight loss than after (just like some patients are happier with their breast during pregnancy than after). Most patients after massive weight loss, benefit from breast augmentation (saline or silicone gel breast implants) along with breast lifting (mastopexy) surgery. The mastopexy operation serves to raise the nipple-areola complexes higher on the chest wall (by removing redundant or loose skin) while the breast augmentation serves to increase fullness of the breasts especially along the superior pole of the breasts. Usually, after significant weight loss, both breast implants and breast lifting are required for optimal results.
Saline Implants
Saline implants have a silicone rubber shell that is inflated to the desired size with sterile saline. The implants are placed under the pectoralis muscle deflated and therefore, the incision used for this type of implant is minimal. These implants can be overfilled to achieve a more rounded appearance.
Saline implants have some advantages over silicone implants. Silicone implant ruptures are harder to detect. When saline implants rupture, they deflate and the results are seen almost immediately. When silicone implants rupture, the breast often looks and feels the same because the silicone gel may leak into surrounding areas of the breast without a visible difference. Patients may need an MRI to diagnose a silicone gel rupture. Saline implants are also less expensive than the silicone gel implants.
Silicone Implants
Silicone implants have a silicone rubber shell that is filled with a fixed amount of silicone gel. Most silicone gel-filled implants are not adjustable and therefore, the incision used to place the silicone gel implant is larger than the incision needed for saline implants. The silicone gel implant cannot be overfilled – it comes in an exact size that cannot be manipulated.
Silicone implants vary in shell surface (smooth/textured), shape, profile, volume, shell thickness, and number of shell lumens.
Some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. Each patient differs in the amount of breast tissue that they have. If a patient has enough breast tissue to cover the implant, the final result will be similar when comparing saline implants versus silicone gel implants. If a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more natural result.
As of 2006, the FDA has approved the use of silicone gel implants manufactured by the Mentor Corporation and Allergan (formerly McGhan) for breast augmentation surgery.
Plastic Surgery Societies Applaud the FDA’s Decision to Approve Silicone Breast Implants
For Immediate Release: November 17, 2006
Arlington Heights, Ill. (November 17, 2006) – The American Society for Aesthetic Plastic Surgery and The American Society of Plastic Surgeons, the two largest plastic surgery membership organizations, applaud the FDA’s decision today to approve (manufacturer’s) silicone breast implants and return these devices to the U.S. market. This decision comes 14 years after the FDA restricted access to the silicone implants because of safety concerns. “This is a great day for American women and the plastic surgeons who care for them,” said Roxanne Guy, MD, ASPS president. “Silicone breast implants have been scrutinized more than any medical device, and we applaud the FDA for making its well thought-out decision and allowing American women to make informed choices about their health care.”
Patients will also often complain of loose skin of the abdomen and/or back areas. The redundant folds of skin may be “depressing” to patients who have worked hard to drop their weight (and maintain it) only to be left with even looser skin. Unfortunately, like the issues described above, these areas of excess skin do not improve despite the most rigorous diet and exercise schedule. Ironically, the redundancy of skin may worsen despite patients’ best efforts. Abdominoplasty (tummy tuck) surgery serve to remove the excess skin of the abdomen while tightening up the abdominal wall muscles. This operation serves to improve the contour of the abdominal wall while the patient is standing, leaning over and sitting down. At the same time, the pubic area (which is often of concern to patients after weight loss) may be reduced and “lifted”. If the pubic area is not addressed during the abdominoplasty procedure, the patient often will be dissatisfied with the end result of surgery.
Often patients will complain of excess skin circumferentially at the level of the abdomen and lower back. Lower body lifting and belt lipectomy procedures serve to remove redundant skin of the abdomen and back circumferentially – this operation serves to improve the contour of the buttocks, hips, thighs and abdomen.
Weight loss can leave loose or “hanging” skin of the upper arm, between the elbow and shoulder. This area is addressed using the brachioplasty or arm lifting surgery. One of the keys of this operation is to plan the resulting scar to fall at the lower edge of the arm so that the scar is not visible from the front or back view. This operation may be extended to address the excess skin of the upper chest as well (upper body lift).
Patient often complain of extra skin of the thighs as well. This area can be treated using the thigh lifting techniques. A medial thigh lift will address the inner thighs while the lower body lift addresses the outer part of the thighs.
When considering any type of plastic surgery, choosing your surgeon is one the most important decisions a patient makes. An astute patient will evaluate the doctor’s credentials, training, specific board certification and experience. Before and after procedures, meeting with previous patients and reading patient testimonials may be useful. Connection with the plastic surgeon is critical to individualize each patient’s case. Safety is of primary concern and factors such as medical problems, age, exercise tolerance and length of surgery are some of the factors considered during the consultation. Care must be taken not to attempt too much surgery simultaneously as this may result in complications. During the office visits, the surgeon will get to know more about the patient’s health history as well as expectations and goals. Patients are educated regarding the procedure, post-operative care and especially potential limitations and/or possible risks and complications of any planned procedure.
Dr. Pousti is well qualified to assist patients after massive weight loss. He is board certified in General Surgery as well as Plastic Surgery and has been trained at some of the finest institutions in the United States. He has been in private practice for over 12 years and has had the privilege of helping thousands of patients reaching their goals after significant weight loss.
About The Author
Dr. Tom Pousti is a La Jolla / San Diego Cosmetic Plastic Surgeon specializing in Reconstructive and Cosmetic Plastic Surgery and is dedicated to restoring appearance, self-esteem, function, and quality of life to his patients. After 17 years of extensive medical and surgical training, Dr. Tom Pousti is double board certified in General Surgery as well as Plastic and Reconstructive Surgery.
Spine Decompression Surgery
by lowongan kerja
by: Mumtaz Pachisa
Motorcycling, sky diving and scuba diving are a few activities that Jill Misangyi, a registered nurse from Canada, never imagined she would be able to do until her spinal decompression surgery with fusion and instrumentation recently in India through Healthbase . Jill had been suffering from chronic back pain for 16 years.
Back pains are as common as headaches. Most back pains disappear on their own with some rest and / or medication. Some may stay longer but can still be managed with conventional treatments of medication, therapy and back building exercises. But, there are a few types of back pain that are so chronic that they render the person disabled. Such chronic conditions necessitate surgery so as to improve the person’s condition.
There are different reasons that cause backaches. In this article we take a look into conditions caused by compression of the structures that form the spinal column, and the surgical solutions to these spine problems .
Conditions associated with spinal compression are: disc herniation, sciatica, spinal stenosis and spondylolisthesis. To relieve pressure on one or many pinched nerves of the spinal column caused by the compression, spinal decompression surgery in its different forms - discectomy, laminectomy and foraminotomy - is employed. Let us start with a description of each of these conditions followed by an understanding of the surgical options.
CONDITIONS
1. Disc herniation: Discs or disks are pads of cartilage between two adjacent vertebrae (i.e. spinal bones) that separate the vertebrae and provide cushioning to them. When the disc herniates (moves out of place), the soft gel inside pushes through the wall of the disc putting pressure on the spinal cord and nerves that are coming out of the spinal column thereby resulting in a severely painful condition. Disc herniation can occur in any disc in the spine - cervical (neck), thoracic (upper back) or lumbar (lower back) region. Disc herniations occur especially in jobs that require lifting, but can also occur from jobs that require constant sitting.
2. Sciatica: Sciatica refers to pain, weakness, numbness, or tingling in the leg caused by injury to or compression of the sciatic nerve located in the back of the leg. Sciatica is a symptom of another medical problem, not a medical condition on its own. The sciatic nerve controls the muscles of the back of the knee and lower leg and provides sensation to the back of the thigh, part of the lower leg and the sole of the foot. Sciatica may be caused by degenerative disc disease (DDD), pelvic injury or fracture, piriformis syndrome (a pain disorder involving the narrow piriformis muscle in the buttocks), slipped disk, spinal stenosis, tumors, etc.
3. Spinal stenosis: Affecting mainly middle-aged or elderly people, spinal stenosis is a narrowing of the spinal canal in the lumbar (lower back) or cervical (neck) region that results in compression of the nerve roots. It may be caused by osteoarthritis or Paget’s disease or by an injury that causes pressure on the nerve roots or the spinal cord itself.
4. Spondylolisthesis: Spondylolisthesis is a condition in which a vertebra in the lower back slips forward and onto a vertebra below it. The slip usually occurs between the fourth and fifth lumbar vertebrae. In adults, it is most commonly caused by a degenerative disease such as osteoarthritis. Other causes are stress fractures (caused during gymnastics), traumatic fractures, and bone diseases.
TREATMENT OPTIONS
Depending upon the underlying reason behind the above conditions, surgical decompression might be used to help relieve the pain. Surgical spinal decompression can take the form of a diskectomy, a laminectomy, or a foraminotomy.
1. Spinal discectomy: Diskectomy or discectomy is the removal of all or part of the affected disc. Spinal discectomy can be done in a few different ways:
a. Microdiscectomy or microdiskectomy: This is a minimally invasive way of carrying out the discectomy procedure so that the bones, joints, ligaments or muscles of your spine are not touched resulting in faster healing and recovery.
b. Lumbar diskectomy: Lumbar discectomy, as the name implies, is performed to address conditions of the lumbar spine or lower part of the back. It may also be part of a larger surgery that also includes a laminectomy, foraminotomy, or spinal fusion (fusing the vertebrae together to stop motion at the painful joint).
c. Cervical diskectomy: Cervical discectomy is performed to treat conditions of the cervical spine or the neck region of the spine. It is most often done with laminectomy, foraminotomy, or fusion.
2. Spinal laminectomy: A laminectomy is the removal of a small portion of the arch of the vertebra to increase the size of the spinal canal to alleviate the pressure on the spinal cord and the pinched nerve. Laminectomy is most commonly performed to treat spinal stenosis. It is usually done along with a diskectomy, foraminotomy, and spinal fusion. Laminectomy can be done either using the conventional open method or using the minimally invasive method.
3. Spinal foraminotomy: A foraminotomy is the removal of bone and other tissue to expand the openings for the nerve roots to exit the spinal cord. Foraminotomy, which be performed on any level (region) of the spine, takes pressure off of a nerve in the spinal column and allows it to move more easily. The procedure is commonly performed as a minimally invasive procedure.
Spinal decompression surgery is successful in relieving pressure and pain in 80% to 90% of patients. When your back pain is getting the better of you, a decompression surgery can greatly help improve your quality of life.
As for Jill Misangyi, she feels her life after surgery has taken a total turn around for the good. She is off all pain medication and is back exercising building muscle. Her 16 years of painful prolonged waiting for surgery at an NHS hospital in Canada are wasted but she considers herself lucky to have found out about Healthbase and affordable medical tourism in India. She now has a second chance at life.
About The Author
The author works for Healthbase (www.healthbase.com), a medical tourism facilitator that connects patients to high quality healthcare in USA and abroad for a fraction of the typical cost of care in US, Canada and UK.
Motorcycling, sky diving and scuba diving are a few activities that Jill Misangyi, a registered nurse from Canada, never imagined she would be able to do until her spinal decompression surgery with fusion and instrumentation recently in India through Healthbase . Jill had been suffering from chronic back pain for 16 years.
Back pains are as common as headaches. Most back pains disappear on their own with some rest and / or medication. Some may stay longer but can still be managed with conventional treatments of medication, therapy and back building exercises. But, there are a few types of back pain that are so chronic that they render the person disabled. Such chronic conditions necessitate surgery so as to improve the person’s condition.
There are different reasons that cause backaches. In this article we take a look into conditions caused by compression of the structures that form the spinal column, and the surgical solutions to these spine problems .
Conditions associated with spinal compression are: disc herniation, sciatica, spinal stenosis and spondylolisthesis. To relieve pressure on one or many pinched nerves of the spinal column caused by the compression, spinal decompression surgery in its different forms - discectomy, laminectomy and foraminotomy - is employed. Let us start with a description of each of these conditions followed by an understanding of the surgical options.
CONDITIONS
1. Disc herniation: Discs or disks are pads of cartilage between two adjacent vertebrae (i.e. spinal bones) that separate the vertebrae and provide cushioning to them. When the disc herniates (moves out of place), the soft gel inside pushes through the wall of the disc putting pressure on the spinal cord and nerves that are coming out of the spinal column thereby resulting in a severely painful condition. Disc herniation can occur in any disc in the spine - cervical (neck), thoracic (upper back) or lumbar (lower back) region. Disc herniations occur especially in jobs that require lifting, but can also occur from jobs that require constant sitting.
2. Sciatica: Sciatica refers to pain, weakness, numbness, or tingling in the leg caused by injury to or compression of the sciatic nerve located in the back of the leg. Sciatica is a symptom of another medical problem, not a medical condition on its own. The sciatic nerve controls the muscles of the back of the knee and lower leg and provides sensation to the back of the thigh, part of the lower leg and the sole of the foot. Sciatica may be caused by degenerative disc disease (DDD), pelvic injury or fracture, piriformis syndrome (a pain disorder involving the narrow piriformis muscle in the buttocks), slipped disk, spinal stenosis, tumors, etc.
3. Spinal stenosis: Affecting mainly middle-aged or elderly people, spinal stenosis is a narrowing of the spinal canal in the lumbar (lower back) or cervical (neck) region that results in compression of the nerve roots. It may be caused by osteoarthritis or Paget’s disease or by an injury that causes pressure on the nerve roots or the spinal cord itself.
4. Spondylolisthesis: Spondylolisthesis is a condition in which a vertebra in the lower back slips forward and onto a vertebra below it. The slip usually occurs between the fourth and fifth lumbar vertebrae. In adults, it is most commonly caused by a degenerative disease such as osteoarthritis. Other causes are stress fractures (caused during gymnastics), traumatic fractures, and bone diseases.
TREATMENT OPTIONS
Depending upon the underlying reason behind the above conditions, surgical decompression might be used to help relieve the pain. Surgical spinal decompression can take the form of a diskectomy, a laminectomy, or a foraminotomy.
1. Spinal discectomy: Diskectomy or discectomy is the removal of all or part of the affected disc. Spinal discectomy can be done in a few different ways:
a. Microdiscectomy or microdiskectomy: This is a minimally invasive way of carrying out the discectomy procedure so that the bones, joints, ligaments or muscles of your spine are not touched resulting in faster healing and recovery.
b. Lumbar diskectomy: Lumbar discectomy, as the name implies, is performed to address conditions of the lumbar spine or lower part of the back. It may also be part of a larger surgery that also includes a laminectomy, foraminotomy, or spinal fusion (fusing the vertebrae together to stop motion at the painful joint).
c. Cervical diskectomy: Cervical discectomy is performed to treat conditions of the cervical spine or the neck region of the spine. It is most often done with laminectomy, foraminotomy, or fusion.
2. Spinal laminectomy: A laminectomy is the removal of a small portion of the arch of the vertebra to increase the size of the spinal canal to alleviate the pressure on the spinal cord and the pinched nerve. Laminectomy is most commonly performed to treat spinal stenosis. It is usually done along with a diskectomy, foraminotomy, and spinal fusion. Laminectomy can be done either using the conventional open method or using the minimally invasive method.
3. Spinal foraminotomy: A foraminotomy is the removal of bone and other tissue to expand the openings for the nerve roots to exit the spinal cord. Foraminotomy, which be performed on any level (region) of the spine, takes pressure off of a nerve in the spinal column and allows it to move more easily. The procedure is commonly performed as a minimally invasive procedure.
Spinal decompression surgery is successful in relieving pressure and pain in 80% to 90% of patients. When your back pain is getting the better of you, a decompression surgery can greatly help improve your quality of life.
As for Jill Misangyi, she feels her life after surgery has taken a total turn around for the good. She is off all pain medication and is back exercising building muscle. Her 16 years of painful prolonged waiting for surgery at an NHS hospital in Canada are wasted but she considers herself lucky to have found out about Healthbase and affordable medical tourism in India. She now has a second chance at life.
About The Author
The author works for Healthbase (www.healthbase.com), a medical tourism facilitator that connects patients to high quality healthcare in USA and abroad for a fraction of the typical cost of care in US, Canada and UK.
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Hypnosis For Back Pain - Into The Science Of It All
by lowongan kerja
by: Greg Frost
First, we need to look at the science of pain. What is pain? Pain is actually a defence mechanism in the body to alert you that there is something wrong with the body, internal or external, that is beyond the normal functions of the body to actually overcome and heal. The body itself is an efficient machine and it has the ability to self heal almost anything at all, but as you age and progress in life, these mechanisms are not able to function just as well. These are natural effects of growing old.
Of course, if the trauma and the wound is too deep or has plenty of internal damage, then pain would come in at higher levels to warn you that there is something wrong. As a defence mechanism, pain also tells you that the limb or part of the body cannot be used anymore in normal limitations. If you injured a ligament in the ankle, you should not use it in normal limitations, where you can further damage the ankle and make the problem much, much worse.
But then, there is another function of the pain receptors in the body, which is to tell you that there is a part of the body that has been compromised, even after initial treatment. Sometimes, there are parts of the body that cannot be repaired fully, no matter how much science and technology is applied to it. When this happens, the body becomes confused somewhat, as it detect that the there is something wrong with that body part. When it comes to the back, this is more tangible.
The body will continue to warn you that there is a problem with your back and the way that it does this is to initiate the pain receptors in the body. The pain is usually a numbing and sometimes elongated pain that affects a large part of the back. The pain is actually within the mind, because it recognises, within the matrix of the body, it recognises a flaw in the system and the alarm bells start to ring. This is where the efficiency of the body can actually be your downfall, as you will be in constant pain.
What you need to do is to erase the pain function in the back, and doing this means that you need to delve deep into the mind, where the subconscious mind has maintained this pain and remove it. You also need to start and accelerate the healing process as well, and the brain has all the functions necessary to do so. Using hypnosis is one of the methods that have been used by mind practitioners to actually smooth out the brain and make it stop the pain. The results have been successful to a certain degree, but there has been emerging technologies in the market that has allowed for faster application and better, measurable results. One of the technologies is called brainwave entrainment, using the frequencies of the brain to full effect to achieve this.
About The Author
Click Here to get your Free "Success Accelerator" Brainwave Cd today!
http://www.mindmaximus.com/freecd.html
Unleash your Mind Power potential to attain the lifestyle that you want. Go claim your Free Cd today!
First, we need to look at the science of pain. What is pain? Pain is actually a defence mechanism in the body to alert you that there is something wrong with the body, internal or external, that is beyond the normal functions of the body to actually overcome and heal. The body itself is an efficient machine and it has the ability to self heal almost anything at all, but as you age and progress in life, these mechanisms are not able to function just as well. These are natural effects of growing old.
Of course, if the trauma and the wound is too deep or has plenty of internal damage, then pain would come in at higher levels to warn you that there is something wrong. As a defence mechanism, pain also tells you that the limb or part of the body cannot be used anymore in normal limitations. If you injured a ligament in the ankle, you should not use it in normal limitations, where you can further damage the ankle and make the problem much, much worse.
But then, there is another function of the pain receptors in the body, which is to tell you that there is a part of the body that has been compromised, even after initial treatment. Sometimes, there are parts of the body that cannot be repaired fully, no matter how much science and technology is applied to it. When this happens, the body becomes confused somewhat, as it detect that the there is something wrong with that body part. When it comes to the back, this is more tangible.
The body will continue to warn you that there is a problem with your back and the way that it does this is to initiate the pain receptors in the body. The pain is usually a numbing and sometimes elongated pain that affects a large part of the back. The pain is actually within the mind, because it recognises, within the matrix of the body, it recognises a flaw in the system and the alarm bells start to ring. This is where the efficiency of the body can actually be your downfall, as you will be in constant pain.
What you need to do is to erase the pain function in the back, and doing this means that you need to delve deep into the mind, where the subconscious mind has maintained this pain and remove it. You also need to start and accelerate the healing process as well, and the brain has all the functions necessary to do so. Using hypnosis is one of the methods that have been used by mind practitioners to actually smooth out the brain and make it stop the pain. The results have been successful to a certain degree, but there has been emerging technologies in the market that has allowed for faster application and better, measurable results. One of the technologies is called brainwave entrainment, using the frequencies of the brain to full effect to achieve this.
About The Author
Click Here to get your Free "Success Accelerator" Brainwave Cd today!
http://www.mindmaximus.com/freecd.html
Unleash your Mind Power potential to attain the lifestyle that you want. Go claim your Free Cd today!
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